| Sandeep K. Thakkar, D.o. | |
|
510 Superior Ave Ste. 200a Newport Beach CA 92663-3663 | |
| (562) 233-9109 | |
| (949) 650-4585 |
| Full Name | Sandeep K. Thakkar, D.o. |
|---|---|
| Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
| Location | 510 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Sandeep K Thakkar (OWNER) |
| Authorized Official Contact | 5622339109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep K. Thakkar, D.o. 510 Superior Ave Ste. 200a Newport Beach CA 92663-3663 Ph: (562) 233-9109 | Sandeep K. Thakkar, D.o. 510 Superior Ave Ste. 200a Newport Beach CA 92663-3663 Ph: (562) 233-9109 |
| NPI Number | 1578900809 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578900809 | NPI | - | NPPES |
| 20A10840 | Other | CA | PTAN GX448A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 20A10840 (California) | Primary |
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